FAUZIA CARULLO MD PROF CORP
Osteopathic Medicine at Tenaya Way, Las Vegas, NV

License number
Nevada 13682
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. FAUZIA CARULLO I M.D.
Title: PRESIDENT/OWNER
Phone: (702) 255-0500
Address
Address
2901 N Tenaya Way SUITE 210, Las Vegas, NV 89128
National Provider ID: 1932498318
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Fauzia Carullo MD, Prof. Corp

Las Vegas, NV

Registration:
Jan 27, 2011
Addresses:
2901 N Tenaya Way, Las Vegas, NV 89128
9001 Grv Crst Ln, Las Vegas, NV 89134
State ID:
E0055612011-5
Business type:
Domestic Professional Corporation
Director, President, Secretary, Treasurer:
Fauzia I. Carullo (Director, President, Secretary, Treasurer)
Agent:
Carullo Fauzia

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